MEDICARE: RAYMOND D. REITER MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1235479270
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAYMOND D. REITER MD PC

Provider Business Mailing Address
First Line	:	PO BOX 182
Second Line	:
City	:	FRANKLIN LAKES
State	:	NJ
Zip	:	07417-0182
Country	:	US
Telephone Number	:	201-245-1123
Fax Number	:

Provider Business Practice Location Address
First Line	:	2520 KENNEDY BLVD
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07304-2054
Country	:	US
Telephone Number	:	201-245-1123
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	RAYMOND D REITER
Credential	:	MD
Telephone Number	:	201-245-1123

Provider Enumeration Date	:	02/28/2013
Last Update Date	:	02/28/2013

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